HomeMy WebLinkAbout173 Walnut Crest Run; 17-2359; ROOF1,._
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A G 0 3 2017
BY.
Application No: I J Zli
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Documented Construction Value: $ 10, 378• °a
Job Address: -t- Q f C A.'44 Qck'y " Historic District: Yes No
Parcel ID: Residential Commercial
Type of Work: New Addition Alteration Repair Demo Change of Use Move
Description of Work: %vda-f', Arm. Sl-+:r,aleSt 511', ,ram I
Plan Review Contact Person:
Phone: Fax: Email:
Title:
Property Owner Information
Name '7a rcA bCc n to n Phone: 1AI - 31 H - U 3s l
Street: M Wal ua- Q -eS+ Ran . Resident of property?
City, State Zip: SGnFnc-A (Of:dq 3a7II
11
Contractor Information
A(1t Name CCec,+ Phone: q07").6,&-31a2 Street:
l641 W"a%ond A,Ve.. Fax: City,
State Zip: W.,\ter irk FL a78q State License No.: (-,CC, W 7383 Architect/
Engineer Information Name:
Street:
City,
St, Zip: Bonding
Company: Address:
Phone:
Fax:
E-
mail: Mortgage
Lender: Address:
WARNING
TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED
AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,
CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
Application
is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced
prior to the issuance of a permit and that all work will be performed to meet standards of all laws regulating construction in
this jurisdiction. I understand that a separate permit must be secured for electrical work, plumbing, signs, wells, pools, furnaces,
boilers, heaters, tanks, and air conditioners, etc. FBC
105.3 Shall he inscribed with the date of application and the code in effect as of that date: 51h Edition (2014) Florida Building Code Revised:
June 30, 2015 Permit Application
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be
found in the public records of this county, and there may be additional permits required from other governmental entities such as water
management districts, state agencies, or federal agencies.
Acceptance of permit is verification that I will notify the owner of the property of the requirements of Florida Lien Law, FS 713.
The City of Sanford requires payment of a plan review fee at the time of permit submittal. A copy of the executed contract is required
in order to calculate a plan review charge and will be considered the estimated construction value of the job at the time of submittal.
The actual construction value will be figured based on the current ICC Valuation Table in effect at the time the permit is issued, in
accordance with local ordinance. Should calculated charges figured off the executed contract exceed the actual construction value,
credit will be applied to your permit fees when the permit is issued.
OWNER'S AFFIDAVIT: I certify that all of the foregoing inford rate and that all work will
be done in compliance with all applicable laws regulating constrrung.
i 1
itgnature of Owne Agent Date ur Date
1'acc-, R"CAOIN (ldre_w Pr-Cr
Print Owner/Agent's Name Print Contractor/Agent's Name
Signature of Notary -State of Florida Date Signature of Notary -State of Florida Date
pRY PGB
iMARKFqEWMARKFREW * MYCOMMISSION#FF MYCOMMISSION#FF15Qt,& EXPIRES: Au1,07
T EXPIRES: August 15, 21 ''; 9ust35, 201 JAr,OF Fro'`` Bonded Thru B et or Froti Bonded 7hru Bud pp 5O' Owner/Agent is Personaff, i ttryo"Ifo Me or Contractor/Agent is
Bud
Known to Me or
Produced ID Type of ID 1: 0L %6S3-bo5•10k -`l 69 Produced ID Type of ID
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building Electrical Mechanical Plumbing[] Gas[] Roof
Construction Type: Occupancy Use:
Total Sq Ft of Bldg: Min. Occupancy Load:
Flood Zone:
of Stories:
New Construction: Electric - # of Amps Plumbing - # of Fixtures
Fire Sprinkler Permit: Yes No # of Heads
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
UTILITIES:
FIRE:
Fire Alarm Permit: Yes No
WASTE WATER:
BUILDING:
Revised: June 30, 2015 Permit Application
LIMITED POWER OF ATTORNEY
Altamonte Springs, Casselberry, Labe Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date: 8-7 -1-7
I hereby name and appoint: NCA0L, iGL':S
an agent of: ew Q "e-t• Stec,
Name of Company)
to be my lawful attorney -in -fact to act for me to apply for, receipt for, sign for and do all things
necessary to this appointment for (check only one option):
V"' The specific permit and application for work located at:
I`73 walnut- C tSt PIUn g11f7r FL 327'd
Street Address)
Expiration Date for This Limited Power of Attorney: 3.2,-13
License Holder Name
State License Number:
Signature of License Ho
STATE OF FLOFJDA/
COUNTY OF Set,,w'
cf.w C'
cc'c' 13
The foregoing instrument was acknowledged before me this ;I, day of Acno
2M. aDi 1, by A. Atv-z Qwho is Vpersonally known to
me or who has produced as identification
and who did (did not) take an oath. Notary
Seal) Rev.
08.12) Signature
Mq
r k Fre, v./ Print
or type name Notary
Public - State of _ Commission
No. My
Commission Expires: t •
R''Ue`' MARK MEW MY
COMMISSION # FF 150739 v'
9T \
oQ, EXPIRES: August 15, 2019 FOF
FL°Q' Bonded 7hru Budget Notary Services
SanfordCityof
Building and Fire Prevention
Product Approval Specification Form
Permit #
Project Location Address i'l3 Wgtr%cAt Cscsj kcAn Sc oforj fb %,Q71
As required by Florida Statute 553.842 and Florida Administrative Code 9N-3, please provide the
information and product approval number(s) on the building components listed below if they are to be
utilized on the construction project for which you are applying for a building permit. We recommend that
you contact your local product supplier should you not know the product approval number for any of the
applicable listed products. Be aware that windows, skylights, and exterior doors must be tested in
accordance with the Florida Building Code, Section 1714.5. More information about Statewide Product
Approval can be obtained at www.floridabuilding.org.
The following information must be available on the jobsite for inspections:
1. This entire product approval form
2. A copy of the manufacturer's installation details and requirements for each product.
Category / Subcategory Manufacturer Product
Description
Florida Approval #
include decimal)
1. Exterior Doors
Swinging
Sliding
Sectional
Roll U
Automatic
Other
2. Windows
Single Hun
Horizontal Slider
Casement
Double Hun
Fixed
Awning
Pass Through
Projected
Mullions
Wind Breaker
Dual Action
Other
June 2014
Category / Subcategory Manufacturer Product
Description(including
Florida Approval #
decimal
3. Panel Walls
Siding
Soffits
Storefronts
Curtain Walls
Wall Louver
Glass block
Membrane
Greenhouse
E.P.S Composite
Panels
Other
4. Roofing Products
Asphalt Shingles T'e,Gd LCkr4marY Ft- q
Underla ments
Roofing Fasteners
Nonstructural
Metal Roofing
Wood Shakes and
Shingles
Roofing tiles
Roofing
Insulation
Waterproofing
Built up roofing
System
Modified Bitumen
Single Ply Roof
Systems
Roofing slate
Cements/
Adhesives /
Coating
Liquid Applied
Roofing Systems
Roof Tile
adhesive
Spray Applied
Polyurethane
Roofing
E.P.S. Roof
Panels
Roof Vents 0 ve +
Other
June 2014
EST l _:
if- i
THIS INSTRUMENT PREPARED BY:
Name: kotrV,
Address: 387L°t B1aZ nc/ S tdc Dc.
CUMo,neld e L 3 s7a
Permit Number:
Parcel ID Number:
The undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the
following information is provided in this Notice of Commencement.
1. DESCRIPTION OF PROPERTY: (Legal descriptio of the property and street address if available)
e, M WMIMA4 Gr51' P.ctn. Sut%iUCI FL 12111
2. GENERAL DESCRIPTION OF IMPROVEMENT:
wy-uof
3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT:
Name and address:'rQtLk %TP T%kut1 L'13 Woctnrni- C.cos t I (An. MnfvrJ 4 32771
Interest in property:
Fee Simple Title Holder (if other than owner listed above) Name:
Address:
4. CONTRACTOR: Name: Andrew Peet Phone Number. q07-IG8.3 /78
Address:
5. SURETY (If applicable, a copy
Amount of Bond:
6. LENDER: Name: Phone Number:
Address:
7. Persons within the State of Florida Designated by Owner upon whom notice or other documents maybe served as provided by Section
713.13(1)(a)7., Florida Statutes.
Name: Phone Number.
8. In addition, Owner designates
to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Phone number.
9. Expiration Date of Notice of Commencement (The expiration is 1 year from date of recording unless a different date is specified)
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE
CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE
JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY
BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
t10- ffi (
Signaure of r a Lessee, or Owner's or Lessee's
Authorized Officer/Director/Partner/Manager)
TWA 9f t n f arl
Print Name and Provide Signatory's Title/Office)
State of a L County of (7 1 e-
The foregoing Instrument was acknowledged before me this day of N(A d u s 1- . 2Q L7
by 1—,A nv Who is personally known to me 0 OR
Name of pereo aldng statement
who has produced identification f type of Identification produced: LO L (OSOS iq (6c[y
Notary Signature
MARK FF
MY COh11MISSION
qj
EXPIRES: Augu
N"`
OFF O\oe Bonded Thru Budg..t
ANDREW PEE'T INC.
1641 Woodland Ave. • Winter Park, FL 32789
Lic # CCC1327383
Licensend • :Isured
A Family Tradition Since 1937"
Orlando
407) 268-3178
Andrew Peet Inc. agrees to furnish all materials and labor necessary to
do modernization work on the premises located at the following address:
Name Tgca R)sy o(\ Phone
Address 03 Wa\r\.t Gust 9,c,
Job Address S a m e T
City S _111Jbt`A
City
In accordance with the specifications given below:
REROOF WITH SHINGLE ROOF AS FOLLOWS:
0/" 1. Remove 4 layers of roofing to a smooth workable surface.
2. Replace any bad wood for $4.00 per Lft for Ix, $6.00 per Lft for 2x
y) 3. Install Eaves Drip..Circle One: Brown - White - Black
Q 4. Install ice and water shield in valleys. Circle: es - No
v' 5. Install
S''
lb. Base felt.
Date &A,1'7
Zip 3 ),'7-11
Zip
Each additional layer at $_ per square.
60.00 per sheet of 4x8 Decking.
Mill - Beige - Reuse
6. Install Valley Metal t% New Reuse
7A. Chimney Step Flashing New Reuse 7B. Chimney Counter Flashing New Reuse
8A. Wall Step Flashing °' New j Reuse 8B. Wall Counter Flashing New Reuse
9. If Flashing cannot be reused, an additional amount may be added as necessary.
10. Soil Stack Boots New Reuse
11. Install cQi year shingles. Manufacturer pp
Color ule il.ed U%oQ a Style Lo r„In,ocK
12. Install Roof Ventilation, 750s, Lft Ridge Vent, Lft Shingle over Vent, or
power vents, — 5 2' x 4' Off -Ridge Vents. Electrical hook up to be an additional charge.
V/13. Clean up all work -related debris. Haul away, leave job site clean.
Additional information: t t o 40 la S 4. e l 5 0 v,, ooa ll a cost ; f t1e e eon
Uf't`r lr. at;S ie,. ,a,sl,.na back otll, ddeS not 'nclr.aol.t S c,cce j'apc,.r•
INSURANCE CLAIMS ONLY:
All work specified in this sales contract is subject to the approval of the Insurance
Company. This agreement becomes binding to the undersigned as soon as the
Insurance Company approves the scope of the work, and is for entire Insurance
proceeds plus any deductibles, bad wood, extra work, and supplements. The
final price may be adjusted up or down from the sales agreement. If contractor
cannot replace entire roof for insurance proceeds plus deductible, agreement is
void.
Insurance Company
Executed by the Buyer this day of
Total Cash Price $ jpo°
Down Payment OR
Upon Delivery of
Materials $
Cash Upon
Completion of Job $ IQ 3q8-'
a
Plus Total for Wood from Item 2 and Item 9)
Approved and Accepted
a. Do not sign this home improvement contract in blank.
b. You are entitled to a copy of the contract before performance commences on your home. Keep it to protect your legal rights.
c. I/We have read and understand the terms and conditions located on the back of this document, which are incorporated herein by
reference and made part of this legal and binding Agreement.
DIRECTION OFJOINT PAYMENT
I hereby authorize and direct you, my homeowners insurance company, to issue payment jointly to the insured and also to Andrew Peet Inc.
Assignee") and any applicable mortgage company(s), such sums as may be due and owing for all damages payable under the subject
contract of insurance, with the exception of damages payable under the Contents and Additional Living Expenses applicable lines of
insurance.
Additional Terms: This agreement does not obligate the Customer to Andrew Peet Inc. (hereinafter "Contractor"), in any way unless the
insurance provider approves the claim or a court of competent jurisdiction orders the insurance carrier to provide coverage and payment for
the damage(s) suffered by customer. Unless additional work or upgrades are requested, the Contractor agrees project will be completed
Claim# Policy#
Acceptance of Proposal: The above specification and conditions are satisfactory and hereby
accepted. Andrew Peet Inc. is authorized to begin the work as specified above after receipt of
intention of full payment from my insurance company. BUYER'S RIGHT TO CANCEL:
You have the right to rescind this contract within 3 business days after the date you sign it by
iotifying the contractor in writing that you are rescinding the contract.
Signature
Date:
Date:
Signature X %did.}(_ di.c.e%I' Date:
Andrew Peet Inc. Representative
City of Sanford Building Division
Residential Re -Roof Inspection Policy & Procedures
errn, J I
PERMITTING REQUIREMENTS - No PLAN REVIEW REQUIRED
This document (signed) along'with an accurate and completed Residential Re -Roof Scope of Work are required
to be submitted as part of your permit application.
The Scope of Work must include all applicable Florida Product Approval numbers for all roof components that
will be installed on the project.
A permit will not be issued without these documents. Copies will be made to post on the job site.
Projects located in the Sanford Historic District will require plan review and approval by the Sanford
Historic Preservation Board
INSPECTION POLICY & PROCEDURES
A Final Roof Inspection is the only inspection required for Residential (Single Family, Townhouse, Mobile
Home, Apartment and/or Condominium) Re -Roof Permits.
The Following is required to be provide on the job site:
Permit Card, posted in a conspicuous and weatherproof location
Completed Residential Re -Roof Scope of Work
Completed and Notarized Inspection Affidavit
All Florida Product Approval and Corresponding Installation Instructions
Product Approval shall match what is on the scope of work)
Digital Photographs (must include the permit number or address in each picture)
o Each plane of the roof, showing the underlayment installed
o Roof Deck Nailing Pattern & Spacing (including a measuring device or ruler)
o Roof Deck Nails used (including a measuring device or ruler showing size of nails)
o Underlayment Pattern & Spacing (including a measuring device or ruler)
o Drip Edge & Valley Attachment (including a measuring device or ruler)
o Shingles installed, nail pattern and location of nails
Skylights (if applicable)
o Digital photographs showing all installation components, per FL Product Approval
o Digital photographs showing all required flashing, per FL Product Approval
Failure to follow these specific guidelines will result in an affidavit provided by a Florida Design
Professional (architect or engineer), certifying FBC c de compliance by personal inspection.
f
CONTRACTOR (OR OWNER/BUILDER) SIGNATURE: DATE: 7
b
City of Sanford
Building and Fire Prevention
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
PERMIT#: 17 -a359 ADDRESS: 113 l,valn, GC s9- Run
StAftfhyl VL
I An1Us OVV ` P—tA— , AS A(N) GENERAL, BUILDING, RESIDENTIAL, OR
ROOFINO CONTRACTOR, ENGINEER, ARCHITECT, OF F.S. CHAPTER 468 BUILDING INSPECTOR, I HEREBY AFFIRM, THAT ALL OF THE
FOREGOING INFORMATION IS TRUE AND ACCURATE AND THAT ALL ROOFING COMPONENTS LISTED ON THE SCOPE OF WORK AT THE
ABOVE REFERENCED ADDRESS HAVE BEEN INSTALLED IN ACCORDANCE WITH THEIR PRODUCT APPROVALS AND ALL APPLICABLE CODE
REQUIREMENTS - SPECIFICALLY FLORIDA BUILDING CODE, EXISTING BUILDING. IN ADDITION I CERTIFY THE INSTALLATION MEETS ALL
REQUIREMENTS FOR SECONDARY WATER BARRIER AND NAI E ROOF DECK, IN ACCORDANCE WITH THE HURRICANE RETROFIT
MANUAL REQUIREMENTS (BASED ON F.S. CHAPTER 44).
LICENSE #: CiC.G 13 arI33 COMPANY /
CONTRACTOR: CONTRACTOR
SIGNATU DATE: 84-17 MUST
BE SIGNED BY ICENSE HOLD ER/BUILDER) A
FINAL ROOF INSPECTION IS REQUIRED: THIS
SIGNED AND NOTARIZED AFFIDAVIT MUST BE PROVIDED AT THE JOB SITE AT THE TIME OF THE FINAL ROOF INSPECTION, ALONG
WITH DIGITAL PHOTOGRAPHS OF EACH PLANE OF THE ROOF SHOWING IN DETAIL ALL COMPONENTS (DECKING, UNDERLAYMENT,
FLASHING, DRIP EDGE ATTACHMENT) WITH THE PERMIT NUMBER OR ADDRESS CLEARLY MARKED ON THE DECK FOR
EACH INSPECTION. THE PHOTOGRAPHS MUST INCLUDE A RULER OR MEASURING DEVICE TO CONFIRM ALL NAIL SPACING AND OVERLAPS,
INCLUDING DRIP EDGE AND VALLEY FLASHING. PLEASE REFER TO THE RE -ROOF POLICY AND INSPECTION PROCEDURE PAPERWORK
FOR FURTHER EXPLANATION OF ALL REQUIREMENTS. FAILURE
TO FOLLOW ALL REQUIREMENTS WILL RESULT IN A FAILED INSPECTION, A RE -INSPECTION FEE AS WELL
AS REQUIRING A DESIGN PROFESSIONAL (ARCHITECT OR ENGINEER) TO CERTIFY, BASED ON PERSONAL INSPECTION,
THE INSTALLATION OF ALL ROOFING COMPONENTS. STATE
OF FLORIDA COUNTY OF SCXn-A01 e, Sworn
to and Subscribed before me this /ersonalay
of &,
nu51"` 20 +by: Who
isly Known to me or has Produced (type of identification)
Signature
of Notary Public State
of Florida Print/
Type/Stamp Name of
Notary Public as
identification. N1Y
COMMISSION # FF 15N36 3
EXPIRES: August 15, 2018 r °'
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